10D1077663 CLIA NUMBER - TOWER IMAGING LLC TOWER RAIOLOGY CENTER BBD

Laboratory Demographics

  • CLIA Code: 10D1077663
  • Facility Name: TOWER IMAGING LLC TOWER RAIOLOGY CENTER BBD
  • Facility Address: 3069 GRAND PAVILION DR
    TAMPA, FL
    ZIP 33613
  • Facility Phone: 813 977-9777
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: MARK REYNOLDS
  • NPI Number: 1700848470
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 10D1077663
LAB Type Other
Facility Name TOWER IMAGING LLC TOWER RAIOLOGY CENTER BBD
Street 3069 GRAND PAVILION DR
City TAMPA
State FL
ZIP 33613
Phone 813 977-9777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2023
Certificate Expiration Date 12/16/2025
Facility Type Other
Lab Director MARK REYNOLDS

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This page was last updated on: 9/29/2025